| NPI | 1619250016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONG KYUNG KIM Owner 425-999-1281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60127882) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |